Does Medicare cover second medical opinions? The doctor I currently see thinks I need back surgery, but I would like to find out more about other treatment options before I proceed. What can you tell me?

Medicare does pay for second opinions if your current doctor has recommended surgery or some other major diagnostic or therapeutic procedure. Getting a second medical opinion from another doctor is a smart idea. A second opinion may offer you a fresh perspective and additional options for treating your back condition so you can make a more informed decision. Or, if the second doctor agrees with your current doctor’s opinion, it can give you some reassurance moving forward.

If you are enrolled in original Medicare, 80% of the costs for second medical opinions are covered under Part B (you or your Medicare supplemental policy are responsible for the other 20%), and you do not need to obtain an order or referral from your doctor to see another doctor for a second opinion. Medicare will even pay 80% of the costs for a third medical opinion, if the first two differ. Most Medicare Advantage plans cover second opinions too, but you may need to follow certain steps to obtain coverage. For example, some plans will only help pay for a second opinion if you receive a referral from your primary care doctor. Plans also may require you to see doctors in their networks only. If you have a Medicare Advantage plan, you’ll need to call to find your plan’s rules. Continue reading →

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When caring for a loved one who has Alzheimer’s or dementia, behavior can be one of the most difficult parts of the daily journey. It’s important to understand that the disease changes your loved one’s brain, and because of these changes, communication problems can arise. Being aware of some of the more common behavioral problems that come with dementia can help you give your loved one the best possible care. Continue reading →

There are many negative myths about seniors and aging that exist in our society today. While some myths hold some truth to them, there are others that are not based on facts at all and are simply derived from stereotypes about seniors that have developed over time. Below are a few of the more common myths and why they are untrue. Continue reading →

The basic Medicaid Rule for nursing home residents is that they must all of their income, minus certain deductions, for their care. These deductions include a $60.00 per month personal needs allowance, a deduction for any uncovered medical cost (including medical insurance premiums) and, in case of a married applicant, an allowance for the spouse that continues to live at home if her or she needs income support. A deduction may also be allowed for a dependent child living at home. Continue reading →